Whiteley Laura B, Brown Larry K, Swenson Rebecca R, Valois Robert F, Vanable Peter A, Carey Michael P, DiClemente Ralph, Salazar Laura F, Romer Daniel
Bradley/Hasbro Children’s Research Center, Rhode Island Hospital, Coro West Building, One Hoppin Street, Providence, RI 02903, USA.
J Prim Prev. 2012 Feb;33(1):13-8. doi: 10.1007/s10935-012-0262-3.
Minority adolescents are affected disproportionately by HIV and STIs, and the Internet is a popular venue to meet sex partners. Little is known about the risks of this behavior for minority adolescents. The majority of studies that have examined sexual risk behavior online or STI/HIV prevention programs online have been among adult MSM. In this study, data from 1,045 African American youth found that 6% met sex partners online and in chat rooms. Odds ratios, adjusting for gender, found this behavior was associated with alcohol (AOR = 2.33, 95% CI [1.1, 4.7]) and drug use (AOR = 3.45, 95% CI [1.9, 6.1]), unprotected vaginal (AOR = 4.71, 95% CI [1.9, 8.4]) and anal sex (AOR = 4.77, 95% CI [1.3,17.1]) in the last 90 days, more lifetime vaginal (AOR = 3.65, 95% CI [2.0, 6.8]) and anal sex (AOR = 2.74, 95% CI [1.5, 4.8]), greater sexual sensation seeking (AOR = 2.92, 95% CI [1.5, 5.7]) and greater depression (AOR = 2.06, 95% CI [1.2, 3.6]. A final multiple logistic regression analyses found that male gender (AOR = 3.13, 95% CI [1.7, 5.8]), drug use at last sex (AOR = 2.41, 95% CI [1.3, 4.5]), lifetime history of vaginal (AOR = 2.90, 95% CI [1.5, 5.5]) and anal sex (AOR = 2.09, 95% CI [1.2, 3.6]), and cocaine use (AOR = 8.53, 95% CI [2.7, 27.3]) were independently associated with having sex with a partner met online. Meeting sex partners online is associated with a variety of risks among African American youth; however, the Internet may be an opportunity for intervention.
少数族裔青少年受艾滋病毒和性传播感染的影响尤为严重，而互联网是结识性伴侣的热门场所。对于少数族裔青少年而言，这种行为的风险鲜为人知。大多数研究在线性风险行为或在线性传播感染/艾滋病毒预防项目的研究对象都是成年男男性行为者。在本研究中，来自1045名非裔美国青年的数据显示，6%的人通过网络和聊天室结识性伴侣。经性别调整后的优势比表明，这种行为与饮酒（优势比=2.33，95%置信区间[1.1, 4.7]）和吸毒（优势比=3.45，95%置信区间[1.9, 6.1]）、过去90天内的无保护阴道性行为（优势比=4.71，95%置信区间[1.9, 8.4]）和肛交（优势比=4.77，95%置信区间[1.3, 17.1]）、更多的终生阴道性行为（优势比=3.65，95%置信区间[2.0, 6.8]）和肛交（优势比=2.74，95%置信区间[1.5, 4.8]）、更强的性感觉寻求（优势比=2.92，95%置信区间[1.5, 5.7]）以及更严重的抑郁（优势比=2.06，95%置信区间[1.2, 3.6]）相关。最终的多元逻辑回归分析发现，男性（优势比=3.13，95%置信区间[1.7, 5.8]）、最近一次性行为时吸毒（优势比=2.41，95%置信区间[1.3, 4.5]）、终生阴道性行为（优势比=2.90，95%置信区间[1.5, 5.5]）和肛交史（优势比=2.09，95%置信区间[1.2, 3.6]）以及使用可卡因（优势比=8.53，95%置信区间[2.7, 27.3]）与与网上结识的伴侣发生性行为独立相关。在非裔美国青年中，通过网络结识性伴侣与多种风险相关；然而，互联网也可能是一个干预的契机。
